Gastrocolic fistula of malignant origin is a rare complication, usually due to gastric or colon cancer. Possible other etiologic factors resulting in gastrocolic fistula are peptic ulcer, trauma, carcinoid tumor, intestinal tuberculosis, Crohn's
disease, lymphoma, intraabdominal abscess, diverticulitis and etc.
At the present, earlier diagnosis and treatment of gastric and colon cancer may explain the low frequency of malignant gastrocolic fistula than the past but the review of Korean literatures revealed only two reports of gastrocolic fistula
secondary
to
gastric cancer and another from benign gastric ulcer. Yet, there had been no report of fistula due to colon cancer.
We experienced a case of colon cancer with postural dizziness, fecal eructation who was diagnosed as gastrocolic fistula by endoscopy, barium enema, UGI series and finally underwent operation.
Therefore, we report this case with the review of literatures. (Kor J Gastrointest Endosc 15: 755~761, 1995)
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